Sidari, Kelly M

Sidari, Kelly M is an sole proprietor health care provider with primary practice located at 425 Pennsylvania Ave , Elmira NY 14904-1762. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Sidari, Kelly M can be contacted via phone (607) 737-5565.

Contact Information

Primary practice address
425 Pennsylvania Ave Elmira NY 14904-1762
Phone: (607) 737-5565
Fax: (607) 737-2980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1386906097
LBN Legal business name Sidari, Kelly M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2012
Last updated Jun 9th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386906097 NPPES
New York MEDICAID 251B

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